RUSH HOSPITAL-BUTLER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- RUSH HOSPITAL-BUTLER INC (EIN 64-0655993)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202223149349303377
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T11:26:21-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721396621 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 W PKWY PL SUITE 300 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640655993 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUSH HOSPITAL - BUTLER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RUSH | BusinessNameControlTxt |
| Phone | 6017039992 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 19TH AVENUE | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BUTLER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6017033082 | PhoneNum |
| Signature | 2022-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | BUTLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAWN STEED | PreparerPersonNm |
| PTIN | P01279118 | PTIN |
| Phone | 6018537050 | PhoneNum |
| Preparation | 2022-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID BUTLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 19TH AVENUE | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,387,439 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | RUSHHEALTHSYSTEMS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | HOSPITAL AND CLINIC PATIENT SERVICE | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,952,756 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,895,206 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,975,932 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,195,225 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,050 | PYInvestmentIncomeAmt |
| CY Investment Income | $269 | CYInvestmentIncomeAmt |
| PY Other Revenue | $242,620 | PYOtherRevenueAmt |
| CY Other Revenue | $296,739 | CYOtherRevenueAmt |
| PY Total Revenue | $19,170,258 | PYTotalRevenueAmt |
| CY Total Revenue | $22,387,439 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,581,505 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,940,780 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,414,297 | PYOtherExpensesAmt |
| CY Other Expenses | $12,514,550 | CYOtherExpensesAmt |
| PY Total Expenses | $17,995,802 | PYTotalExpensesAmt |
| CY Total Expenses | $19,455,330 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,174,456 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,932,109 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,145,280 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,065,058 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,654,191 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,564,494 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,508,911 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,499,436 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ACUTE-CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES TO THE CHOCTAW COUNTY AREA AND SURROUNDING COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,543,890 | ExpenseAmt |
| Revenue | $18,274,449 | RevenueAmt |
| Desc | CHOCTAW GENERAL HOSPITAL IS A 25-BED ACUTE-CARE, CRITICAL ACCESSHOSPITAL LOCATED IN BUTLER, ALABAMA IN CHOCTAW COUNTY. BUTLER HAS APOPULATION OF 1,863 AND CHOCTAW COUNTY HAS A POPULATION OF 13,859.CHOCTAW GENERAL HOSPITAL IS AFFILIATED WITH RUSH HEALTH SYSTEMS OFMERIDIAN, MISSISSIPPI.CHOCTAW GENERAL HOSPITAL'S SCOPE OF CARE INCLUDES A RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. A VARIETY OF OTHER SERVICES ARE AVAILABLE ON AN INPATIENT AND OUTPATIENT BASIS THROUGH THE HOSPITAL'S IMAGING, LABORATORY AND REHABILITATIVE SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. A 24-HOUR EMERGENCY DEPARTMENT IS STAFFED WITH QUALIFIED EMERGENCY ROOM HOSPITALISTS AND FAMILY NURSE PRACTITIONERS AND IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK. THE HOSPITAL, WHICH OPENED IN MARCH, 2012, ALSO HAS A HELIPAD AND MAINTAINS AFFILIATIONS WITH AIR AMBULANCE SERVICES IN ALABAMA FOR THE TRANSFER OF PATIENTS REQUIRING HIGHER ACUITY OR MORE SPECIALIZED CARE. SKILLED NURSING AND REHABILITATIVE CARE ARE AVAILABLE AT CHOCTAW GENERAL HOSPITAL THROUGH THE SWING BED PROGRAM. THOSE RECOVERING FROM SURGERY, A STROKE, A FRACTURE OR AN EXTENDED MEDICAL ILLNESS AND HOSPITALIZATION CAN RECEIVE REHABILITATIVE CARE AT CHOCTAW GENERAL HOSPITAL, WHETHER OR NOT THEY WERE HOSPITALIZED IN ANOTHER LOCATION. ADDITIONALLY, THEY OFFER AN INTENSIVE OUTPATIENT PROGRAM DESIGNED TO PROVIDE CARE FOR SENIOR ADULTS SUFFERING FROM CHRONIC ANXIETY, DEPRESSION AND GRIEF.IN 2019, CHOCTAW GENERAL HOSPITAL LAUNCHED A CHRONIC VENTILATOR PROGRAM TO MEET THE COMPLEX RESPIRATORY NEEDS OF THOSE ENTRUSTED TO THEIR CARE. THE PROGRAM IS DESIGNED TO PROVIDE HIGH-QUALITY CARE FOR INDIVIDUALS WITH CHRONIC VENTILATORS AND THOSE WHO ARE ABLE TO BE WEANED.IN 2021, CHOCTAW GENERAL HOSPITAL CONTINUED IMPLEMENTATION OF A 340B DRUG PROGRAM DESIGNED TO HELP PATIENTS, PARTICULARLY THOSE WHO DO NOT HAVE PRESCRIPTION DRUG COVERAGE UNDER THEIR INSURANCE PROGRAMS OR WHO ARE UNINSURED RECEIVE SIGNIFICANT DISCOUNTS ON PRESCRIPTION MEDICATIONS.AS PRESENTED IN THE ATTACHED SCHEDULE H, CHOCTAW GENERAL HOSPITAL PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS DURING 2021 AT A COST OF $1,367,749. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, CHOCTAW GENERAL HOSPITAL RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, CHOCTAW GENERAL HOSPITAL PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS. ALONG WITH BEING THE ONE OF THE COUNTY'S LARGEST EMPLOYERS AND A MAJOR ECONOMIC STIMULUS BY VIRTUE OF ITS PAYROLL, CHOCTAW GENERAL HOSPITAL ALSO PROVIDES MANY BENEFITS TO THE BROADER COMMUNITY IN THE AREAS OF CIVIC INVOLVEMENT AND GIVING INCLUDING ACTIVELY SUPPORTING THE AMERICAN CANCER SOCIETY, CONDUCTING COMMUNITY EDUCATION CLASSES AND PROVIDING FREE MEDICAL SCREENING TESTS AND DISSEMINATION OF HEALTH INFORMATION AT CIVIC CLUB MEETINGS AND OTHER COMMUNITY FUNCTIONS. | Desc |
| Total Program Service Expenses | $16,543,890 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 146 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BUTLER | PersonNm |
| Phone | 6017033082 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1314 19TH AVENUE | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLIFF BRYAN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR LEE ARMISTEAD | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| DUANE JOHNSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUBY SINGLEY | ||||||||
| BOARD CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| S TODD LOWERY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SEKETHA MITCHELL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHEILA SKELTON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DARRELL WILDMAN | ||||||||
| TREASURER | 1.00 | $0 | $372,881 | $33,834 | 54.00 | Yes (X) | ||
| DAVID BUTLER | ||||||||
| CFO | 1.00 | $0 | $266,532 | $26,200 | 48.00 | Yes (X) | ||
| FRED DUGGAN MD | ||||||||
| CMO | 1.00 | $0 | $763,245 | $34,249 | 60.00 | Yes (X) | ||
| JW COWAN | ||||||||
| ADMINISTRATOR | 40.00 | $0 | $100,618 | $20,775 | Yes (X) | |||
| LARKIN KENNEDY | ||||||||
| PRESIDENT | 1.00 | $0 | $547,233 | $27,599 | 60.00 | Yes (X) | ||
| RICK BARRY | ||||||||
| SECRETARY | 1.00 | $0 | $18,000 | $0 | 9.00 | Yes (X) | ||
| ALLEN TYRA | ||||||||
| COO | 1.00 | $0 | $292,677 | $18,282 | 60.00 | Yes (X) | ||
| DAWN REYNOLDS | ||||||||
| COMPLIANCE | 1.00 | $0 | $113,521 | $21,666 | 9.00 | Yes (X) | ||
| AIMEE MCWILLIAMS | ||||||||
| COMPLIANCE DIRECTOR | 1.00 | $0 | $68,019 | $22,365 | 9.00 | Yes (X) | ||
| KATHERINE A HENSLEIGH | ||||||||
| PHYSICIAN | 40.00 | $273,555 | $0 | $23,194 | Yes (X) | |||
| DANIEL ARMISTEAD | ||||||||
| PHYSICIAN | 40.00 | $381,829 | $0 | $33,743 | Yes (X) | |||
| PERRY WALLCE | ||||||||
| PHYSICIAN | 40.00 | $207,562 | $0 | $24,968 | Yes (X) | |||
| ALISHA DIANE LUKER | ||||||||
| RN | 40.00 | $102,900 | $0 | $1,241 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $965,846 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,542,726 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $288,116 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CC&C INC | |||||
| 409 ZARA STREET | BUTLER | AL | 36904 | ER PHYSICIAN SERVICES | $1,323,447 |
| MEDICOMP INC | |||||
| PO BOX 426 | MAGEE | MS | 39111 | PHYSICAL THERAPY SERVICES | $346,528 |
| WOUND CARE SPECIALISTS | |||||
| 445 HAMILTON AVE SUITE 800 | WHITE PLAINS | NY | 106011829 | WOUND CARE | $132,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $3,895,206 | AllOtherContributionsAmt |
| Total Contributions | $3,895,206 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $18,195,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,195,225 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,195,225 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $269 | TotalRevenueColumnAmt |
| Exclusion | $269 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA | 722210 | $217,515 | $217,515 | |
| MISCELLANEOUS | 900099 | $79,224 | $79,224 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $296,739 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,387,439 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,274,449 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $217,784 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,717,060 | TotalAmt |
| Program Services | $5,384,451 | ProgramServicesAmt |
| Management And General | $332,609 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,213 | TotalAmt |
| Program Services | $92,213 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $744,030 | TotalAmt |
| Program Services | $743,451 | ProgramServicesAmt |
| Management And General | $579 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,477 | TotalAmt |
| Program Services | $365,064 | ProgramServicesAmt |
| Management And General | $22,413 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,979,185 | TotalAmt |
| Management And General | $1,979,185 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,432,734 | TotalAmt |
| Program Services | $1,432,734 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,218,445 | TotalAmt |
| Program Services | $3,218,445 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,938 | TotalAmt |
| Program Services | $13,756 | ProgramServicesAmt |
| Management And General | $4,182 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,861 | TotalAmt |
| Program Services | $543,861 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $720,741 | TotalAmt |
| Program Services | $720,741 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,209 | TotalAmt |
| Program Services | $103,209 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $1,970,948 | $1,844,478 | $126,470 |
| PROVISION FOR BAD DEBTS | $821,360 | $821,360 | |
| TAXES & LICENSES | $660,282 | $660,282 | |
| UTILITIES | $396,322 | $41,166 | $355,156 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $649,525 | TotalAmt |
| Program Services | $558,679 | ProgramServicesAmt |
| Management And General | $90,846 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,455,330 | TotalAmt |
| Program Services | $16,543,890 | ProgramServicesAmt |
| Management And General | $2,911,440 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,706 | BOYAmt |
| EOY | $13,738 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,660,994 | BOYAmt |
| EOY | $1,451,963 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $718 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,485 | BOYAmt |
| EOY | $192,960 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,257 | BOYAmt |
| EOY | $63,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,648,900 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,917,770 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,192,895 | BOYAmt |
| EOY | $13,731,130 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,982,225 | BOYAmt |
| EOY | $2,611,312 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,145,280 | BOYAmt |
| EOY | $18,065,058 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,112,937 | BOYAmt |
| EOY | $801,158 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $840,187 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,799,953 | BOYAmt |
| EOY | $15,231,403 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,741,301 | BOYAmt |
| EOY | $2,691,746 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,654,191 | BOYAmt |
| EOY | $19,564,494 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,508,911 | BOYAmt |
| EOY | -$1,499,436 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,508,911 | BOYAmt |
| EOY | -$1,499,436 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,145,280 | BOYAmt |
| EOY | $18,065,058 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,932,109 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2,922,630 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$4 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,590 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,590 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | RUSH HOSPITAL - BUTLER, INC. PAYS DUES TO ALABAMA HOSPITAL ASSOCIATION TOTALING $9,099, OF WHICH 17.47% IS ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $401,100 | OtherCostOrOtherBasisAmt |
| Book Value | $401,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,212,433 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,877,821 | DepreciationAmt |
| Book Value | $12,334,612 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,400 | DepreciationAmt |
| Book Value | $13,198 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $924,414 | OtherCostOrOtherBasisAmt |
| Depreciation | $924,414 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,091,355 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,135 | DepreciationAmt |
| Book Value | $982,220 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,731,130 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $2,610,474 |
| OTHER LONG TERM ASSETS | $838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,611,312 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYORS | $2,654,474 |
| OTHER LIABILITIES | $37,272 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,691,746 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | RUSH HEALTH SYSTEMS, INC., SUBSIDIARIES, AND AFFILIATES, WITH THE EXCEPTION OF PHYSICIAN MANAGEMENT SERVICES, INC., MERIDIAN ANESTHESIA GROUP, INC., MANAGED HEALTHCARE, INC., AND THE MEDICAL STORE, ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR INCOME UNDER SECTION 501(A) OF THE CODE. PHYSICIAN MANAGEMENT SERVICES, INC., MERIDIAN ANESTHESIA GROUP, INC., MANAGED HEALTHCARE, INC., AND THE MEDICAL STORE, HOWEVER, ARE TAXABLE CORPORATIONS AND FILE CORPORATE INCOME TAX RETURNS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HEALTH SYSTEM TO EVALUATE TAX POSITIONS TAKEN BY THE HEALTH SYSTEM AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE HEALTH SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE HEALTH SYSTEM HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2018, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. DEFERRED TAXES ARE PROVIDED ON A LIABILITY METHOD WHEREBY DEFERRED TAX ASSETS ARE RECOGNIZED FOR DEDUCTIBLE TEMPORARY DIFFERENCES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS AND DEFERRED TAX LIABILITIES ARE RECOGNIZED FOR TAXABLE TEMPORARY DIFFERENCES. TEMPORARY DIFFERENCES ARE THE DIFFERENCES BETWEEN THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND THEIR TAX BASES. THE SUBSIDIARIES' TEMPORARY DIFFERENCES RELATE PRIMARILY TO PROPERTY AND EQUIPMENT AND NET OPERATING LOSS CARRYFORWARDS. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE-LIKELY-THAN-NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. DEFERRED TAX ASSETS AND LIABILITIES ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN TAX LAWS AND RATES ON THE DATE OF ENACTMENT. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,102,514 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,102,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05670 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,899,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,625,273 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,093 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,143 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,004,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,626,416 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,103,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,638 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,638 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,726 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $50,726 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,129,183 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,929,410 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $199,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,193,695 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,929,410 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $264,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,198,292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,555,826 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,367,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07030 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,074 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,074 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $821,360 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $6,292,391 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,235,345 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $57,046 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RUSH HOSPITAL - BUTLER INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 VANITY FAIR LANE | AddressLine1Txt |
| City | BUTLER | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHOCTAW GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE ATTACHED SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE ATTACHED SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CHOCTAW GENERAL HOSPITAL | PART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THECHNA, FOUND AT:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=71ED4262-023D-4935-A7E03C435CCC012A |
| CHOCTAW GENERAL HOSPITAL | PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=3B0F58FA-0E31-4D1C-9BF8D427D85B85D7 |
| CHOCTAW GENERAL HOSPITAL | PART V, SECTION B, LINE 16J: HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/FINANCIAL-ASSISTANCE-POLICY/HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM-APPLICATION/HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/OCHSNER-RUSH-HEALTH-PLAIN-LANGUAGE-SUMMARY/ |
| PART V, SECTION B, LINE 7A | THE CNHA CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/CHOCTAW-GENERAL-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LINK |
| PART V, SECTION B, LINE 10A | THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/CHOCTAW-GENERAL-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CHOCTAW URGENT CARE CENTER | ||||
| 1404 EAST PUSHMATHA ST | BUTLER | AL | 36904 | URGENT CARE CLINIC |
| 2 - GILBERTOWN FAMILY MEDICAL CLINIC | ||||
| 12731 AL-17 | GILBERTOWN | AL | 36908 | FAMILY MEDICAL CENTER |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COSTING METHODOLOGY USED IN THE TABLE ON LINE 7 IS THE RATIO OF PATIENTCARE COST TO CHARGES DERIVED FROM WORKSHEET 2. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ALL ACTIVITIES ENGAGED IN BY RUSH HOSPITAL - BUTLER, INC. ARE GEAREDTOWARD PROMOTION AND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OURPRIMARY SERVICE AREA. RUSH HOSPITAL-BUTLER PROMOTES HEALTH EDUCATION THROUGH SUPPORT OFITS COMMUNITY BASED NURSING AND ALLIED HEALTH PROGRAMS AS WELL ASCOMMUNITY HEALTH EDUCATION AND TRAINING SESSIONS. RUSH HOSPITAL-BUTLER ALSO SUPPORTSTHE COMMUNITY BY ENSURING THE PROVISION OF MUCH NEEDED EMERGENCY MEDICINE.PART III, |
| PART III, LINE 4: | BAD DEBT EXPENSE IS AS AMOUNT OF CHARGES PER TRIAL BALANCE, THIS AMOUNT ISNETTED WITH REVENUE ON AUDITED FINANCIALS AS AN IMPLICIT PRICE CONCESSION.FOR TAX PURPOSES, BAD DEBT EXPENSE IS MOVED DOWN TO THE EXPENSE SECTION.PER NOTE 1 OF THE FINANCIAL STATEMENTS, PATIENT ACCOUNTS RECEIVABLE AREREPORTED AT ESTIMATED NET REALIZABLE VALUE TAKING INTO ACCOUNT ESTIMATEDIMPLICIT AND EXPLICIT PRICE CONCESSIONS. THE ESTIMATED IMPLICIT PRICECONCESSIONS ARE BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OFHISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERALECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE,AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICESPROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDESPATIENTS WITH DEDUCTIBLE AND PAYMENT BALANCES FOR WHICH THIRD-PARTYCOVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM ANALYZESCONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR EXPLICIT PRICECONCESSIONS, IF NECESSARY. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THEADEQUACY OF THE PRICE CONCESSIONS BASED UPON ITS REVIEW OF ACCOUNTSRECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENTEXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHERFACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONSTO PATIENT SERVICE REVENUE AND TO ESTABLISH AN APPROPRIATE ESTIMATE FORPRICE CONCESSIONS. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FORPLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTIONAGENCIES. |
| PART III, LINE 8: | ALTHOUGH NOT THE CASE THIS YEAR, THE COST OF PROVIDING SERVICES TOMEDICARE PATIENTS, HAS HISTORICALLY SIGNIFICANTLY EXCEEDED REVENUE. THISCOST PROVIDES A NECESSARY HEALTH BENEFIT TO THE ELDERLY POPULATION IN THEHOSPITAL'S SERVICE AREA AND SHOULD BE CONSIDERED COMMUNITY BENEFIT. |
| PART III, LINE 9B: | THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITSCHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT ITS ESTABLISHEDRATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTSDETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE.ADDITIONALLY, THE HOSPITAL MAY UTILIZE OUTSIDE AGENCIES AS APPROPRIATE TOASSIST IN DETERMINING ACCOUNTS THAT QUALIFY AS CHARITY CARE. ANY ACCOUNTSDETERMINED TO BE CHARITY BASED ON AN AGENCY'S RECOMMENDATION ARE REPORTEDAS CHARITY CARE AND REVENUE REDUCED BY THIS AMOUNT AS OPPOSED TO BEINGREPORTED AS BAD DEBT EXPENSE. |
| PART VI, LINE 2: | OUTSIDE CONSULTANTS ARE HIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENTPERIODICALLY.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=71ED4262-023D-4935-A7E03C435CCC012A |
| PART VI, LINE 3: | PATIENTS ARE PROVIDED AN APPLICATION FOR CHARITY CARE AND A CRITERIA FORCHARITY CARE CHECKLIST AS CLOSE TO POINT OF SERVICE AS POSSIBLE.ADDITIONALLY, THE HOSPITAL UTILIZES AN OUTSIDE ELIGIBILITY COMPANY THATREVIEWS ALL NO INSURANCE PATIENTS FOR POTENTIAL QUALIFICATION FOR OTHERGOVERNMENTAL PROGRAMS SUCH AS MEDICAID. |
| PART VI, LINE 4: | RUSH HOSPITAL - BUTLER IS A CRITICAL ACCESS ACUTE-CARE MEDICAL CENTER THATSERVES INPATIENTS AND OUTPATIENTS, PRIMARILY IN THE DEKALB, ALABAMA AREA.AS A CRITICAL ACCESS HOSPITAL, BUTLER TRANSFERS THE EMERGENT AND MORECOMPLICATED CASES THAT REQUIRE SPECIALISTS PRIMARILY TO THE LARGER ACUTECARE HOSPITALS IN THE MERIDIAN, MS AREA. OF THE COUNTIES SERVED, THEFOLLOWING ARE COUNTIES IDENTIFIED BY HEALTH RESOURCES AND SERVICESADMINISTRATION OF THE US DEPT OF HEALTH AND HUMAN SERVICES AS HEALTHPROFESSIONAL SHORTAGE AREAS: CHOCTAW AND SUMTER COUNTIES IN ALABAMA;CLARKE, KEMPER, LAUDERDALE, NESHOBA, NEWTON AND SCOTT COUNTIES INMISSISSIPPI.ADDITIONAL INFORMATION ON THE COMMUNITY SERVED CAN BE FOUND IN THE CHNA.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=71ED4262-023D-4935-A7E03C435CCC012A |
| PART VI, LINE 5: | ALL MEMBERS OF RUSH HOSPITAL - BUTLER, INC.'S BOARD RESIDE IN BUTLER'SPRIMARY SERVICE AREA. THE ORGANIZATION HAS AN OPEN MEDICAL STAFFEXTENDING PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND NON-PHYSICIANPRACTITIONERS THAT APPLY FOR PRIVILEGES AND MEET ALL REQUIREMENTS OFCREDENTIALING AND THE MEDICAL STAFF RULES AND REGS AND BY-LAWS. THEFACILITY UTILIZES SURPLUS FUNDS FOR ADDITIONAL MEDICAL TECHNOLOGY,RECRUITMENT OF MEDICAL STAFF THAT IS OTHERWISE UNAVAILABLE (I.E.NEUROSURGERY, MIDWIFERY, ETC.), FUNDING OF LOCAL AREA HEALTHCARE WORKFORCE TRAINING AND ECONOMIC DEVELOPMENT. |
| PART VI, LINE 6: | RUSH HOSPITAL - BUTLER, INC IS WHOLLY OWNED BY RUSH HEALTH SYSTEMS, ANON-PROFIT ORGAINIZATION. WITHIN RUSH HEALTH SYSTEMS ARE THE SPECIALTYHOSPITAL OF MERIDIAN (A LONG TERM ACUTE CARE FACILITY), SCOTT HOSPITAL (ACRITICAL ACCESS HOSPITAL, HC WATKINS HOSPITAL (A CRITICAL ACCESSHOSPITAL), SCOTT HOSPITAL (A CRITICAL ACCESS HOSPITAL), MEDICAL FOUNDATIONINC. (A CLINIC ORGANIZATION), AND RUSH MEDICAL GROUP (A CLINICORGANIZATION). EACH OF THESE ENTITES COORDINATE TO IMPROVE THE HEALTHCAREOF EAST MISSISSIPPI AND WEST ALABAMA. CLINICAL INTEGRATION BETWEENOUTLYING CRITICAL ACCESS HOSPITALS, SPECIALIST PHYSICIANS AND THE GENERALACUTE CARE HOSPITAL PROVIDE FOR IMPROVED ACCESS AND IMPROVED OUTCOMES FORTHE POPULATION WE SERVE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRED DUGGAN MD | ||||||||||||||
| CMO | $0 | $763,245 | $0 | $0 | $0 | $0 | $0 | $8,550 | $0 | $25,699 | $0 | $797,494 | $0 | $0 |
| LARKIN KENNEDY | ||||||||||||||
| PRESIDENT | $0 | $547,233 | $0 | $0 | $0 | $0 | $0 | $8,550 | $0 | $19,049 | $0 | $574,832 | $0 | $0 |
| DANIEL ARMISTEAD | ||||||||||||||
| PHYSICIAN | $381,829 | $0 | $0 | $0 | $0 | $0 | $8,550 | $0 | $25,193 | $0 | $415,572 | $0 | $0 | $0 |
| DARRELL WILDMAN | ||||||||||||||
| TREASURER | $0 | $372,881 | $0 | $0 | $0 | $0 | $0 | $8,550 | $0 | $25,284 | $0 | $406,715 | $0 | $0 |
| ALLEN TYRA | ||||||||||||||
| COO | $0 | $292,677 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,282 | $0 | $310,959 | $0 | $0 |
| KATHERINE A HENSLEIGH | ||||||||||||||
| PHYSICIAN | $273,555 | $0 | $0 | $0 | $0 | $0 | $8,550 | $0 | $14,644 | $0 | $296,749 | $0 | $0 | $0 |
| DAVID BUTLER | ||||||||||||||
| CFO | $0 | $266,532 | $0 | $0 | $0 | $0 | $0 | $7,704 | $0 | $18,496 | $0 | $292,732 | $0 | $0 |
| PERRY WALLCE | ||||||||||||||
| PHYSICIAN | $207,562 | $0 | $0 | $0 | $0 | $0 | $7,354 | $0 | $17,614 | $0 | $232,530 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | RUSH HEALTH SYSTEMS (SOLE MEMBER OF THE ORGANIZATION) PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). FOR 2021, THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS FOR THOSE LISTED ON SCHEDULE J. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | RUSH HEALTH SYSTEMS, INC. IS THE PARENT ORGANIZATION AND SOLE MEMBER OF THIS ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF RUSH HEALTH SYSTEMS, INC. (SOLE MEMBER OF ORGANIZATION) APPOINTS BOARD MEMBERS FOR THE ORGANIZATION ANNUALLY FOR A ONE YEAR TERM. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF RUSH HEALTH SYSTEMS, INC. (SOLE MEMBER OF ORGANIZATION) APPROVES AND RATIFIES THE ACTIONS OF THE ORGANIZATION'S BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF RUSH HEALTH SYSTEMS, INC. (SOLE MEMBER OF THE ORGANIZATION) REVIEWED AND APPROVED THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. THE OFFICERS AND DIRECTORS OF THE ORGANIZATION REVIEW THE POLICY ANNUALLY AND SIGN A CONFLICT OF INTEREST STATEMENT STATING THEY HAVE READ AND UNDERSTAND THE POLICY AND ARE IN COMPLIANCE. EDUCATION IS GIVEN TO THE STAFF ON THE CONFLICT OF INTEREST POLICY WHICH INCLUDES DIRECTION TO VOICE ANY QUESTIONS OR CONCERNS THEY HAVE AND TO BRING FORTH ANY POTENTIAL CONFLICT OR CONCERN TO THE ATTENTION OF THE CORPORATE COMPLIANCE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION FOR THE AFFILIATED GROUP OF RUSH HEALTH SYSTEMS (SOLE MEMBER OF THE ORGANIZATION) IS REVIEWED ANNUALLY BY INDEPENDENT CONSULTANTS. CONSULTANTS COMPARE COMPENSATION ORDINARILY PROVIDED BY SIMILAR ORGANIZATIONS, UNDER LIKE CIRCUMSTANCES, AND ADJUSTED TO REFLECT CURRENT MARKET RATES. CONSULTANTS MEET WITH THE COMPENSATION COMMITTEE AND MAKE RECOMMENDATIONS WHICH ARE APPROVED AND RATIFIED BY THE BOARD. THE INDEPENDENT CONSULTANTS REGULARLY CONTRACTED TO PERFORM SUCH REVIEWS ARE SULLIVAN, COTTER & ASSOCIATES, INC. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | ROUNDING -4. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSH MEDICAL FOUNDATION DBA RUSH FOUNDATION HOSPITAL | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 640345119 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| RUSH MEDICAL GROUP OF NEWTON | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 640783323 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| RUSH HOME CARE INC | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 640670314 | PROVIDING HOME HEALTH CARE | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| LAIRD HOSPITAL INC | |||||||||||
| 25117 HWY 15 | UNION | MS | 39365 | 201835779 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| RUSH CARE INC | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 640833381 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| MERIDIAN SPEECH AND HEARING CENTER | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 640529831 | PROVIDING AUDIOLOGY AND DYSLEXIA TESTING AND TREATMENT | MS | 501(C)(3) | 509(A)(2) | RUSH HEALTH SYSTEMS INC | 0 | |
| SCOTT REGIONAL MEDICAL CENTER INC | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 260792328 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| MEDICAL FOUNDATION INC | |||||||||||
| PO BOX 5183 | MERIDIAN | MS | 39302 | 640834532 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| KEMPER CAH INC | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 271757642 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| NEWCA HEALTHCARE INC | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 201254928 | PROVIDING HEALTH CARE SERVICES | MS | 501(C)(3) | 170(B)(1)(A)(III) | RUSH HEALTH SYSTEMS INC | 0 | |
| RUSH HEALTH SYSTEMS INC | |||||||||||
| PO BOX 5187 | MERIDIAN | MS | 39301 | 640664988 | PROVIDING SUPPORT TO HEALTH CARE AFFILIATES | MS | 501(C)(3) | 509(A)(3) | 0 | N/A | |
| FOUNDATION FOR RUSH INC | |||||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 473716882 | FOUNDATION/FUNDRAISING | MS | 501(C)(3) | 170(B)(1)(A)(IV) | RUSH HEALTH SYSTEMS INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERIDIAN SURGERY CENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 13TH STREET | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300160065 | EIN |
| Primary Activities | AMBULATORY SURGERY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| RUSH SERVICE COMPANY INC | ||||||||
| PO BOX 5188 | MERIDIAN | MS | 39302 | 640670493 | PROPERTY RENTAL | MS | N/A | 0 |
| MANAGED HEALTH CARE | ||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 640862241 | MANAGE HEALTHCARE | MS | N/A | 0 |
| PHYSICIAN MANAGEMENT SERVICES INC | ||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 710927411 | HEALTHCARE MANAGEMENT | MS | N/A | 0 |
| MERIDIAN ANESTHESIOLOGY GROUP PA | ||||||||
| 4700 26TH AVENUE | MERIDIAN | MS | 39305 | 640675511 | ANESTHESIOLOGY SERVICES | MS | N/A | 0 |
| THE MEDICAL STORE #1 | ||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 640756777 | DURABLE MEDICAL EQUIPMENT SALES | MS | N/A | 0 |
| RURAL HEALTHCARE MANAGEMENT INC | ||||||||
| 1314 19TH AVENUE | MERIDIAN | MS | 39301 | 811641843 | HEALTHCARE MANAGEMENT | MS | N/A | 0 |
| PEAVEY INVESTMENT COMPANY INC | ||||||||
| 1220 16TH AVENUE | MERIDIAN | MS | 39301 | 640412267 | SUBSIDIARY OF RUSH SERVICE COMPANY | MS | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments